Mamaroneck Np in Psychiatry Pllc
NPI #1376362590 in Mamaroneck, New York
Provider Information
- NPI Number
- 1376362590
- Entity Type
- Organization
- Organization Name
- Mamaroneck Np in Psychiatry Pllc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Oct 4, 2024
- Last Updated
- Oct 4, 2024
Practice Location
- Address
- 709 PALMER CT APT 2E
- City
- Mamaroneck
- State
- New York
- ZIP Code
- 10543-2442
- Phone
- (917) 513-0273
Authorized Official
- Name
- DR. KRYSTYNA DE JACQ, PHD, PMHNP-BC
- Title
- OWNER
- Phone
- (917) 513-0273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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